Micronutrients & recovery
Post-bariatric surgery supplementation with vitamin D, calcium, and protein combined with physical exercise significantly attenuates the loss of areal bone mineral density (aBMD) and lean body mass compared to no intervention.
After bariatric surgery, you must actively manage your bone and muscle health. This means taking prescribed high-dose Vitamin D and Calcium, ensuring you eat enough protein (adjusted for your size), and starting a structured exercise program (walking and strength training) as soon as your surgeon clears you. Without this active management, you will likely lose significant bone density and muscle mass.
We conclude that vitamin D loading and ongoing vitamin D, calcium, and BMI-adjusted protein supplementation in combination with physical exercise decelerates the loss of aBMD and LBM after bariatric surgery.
Why this rating
Randomized controlled trial with a relatively large sample size (n=220) and 24-month duration, though open-label.
Source
The Impact of Vitamin D, Calcium, Protein Supplementation, and Physical Exercise on Bone Metabolism After Bariatric Surgery: The BABS Study
Christian Muschitz et al. · Journal of Bone and Mineral Research · 2015
DOI 10.1002/jbmr.2707
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